COVID-19, National Cancer Grid and Tata Memorial Centre response C S Pramesh, MS, FRCS Director, Tata Memorial Hospital Professor, Thoracic Surgery
[email protected] @cspramesh Disclosures I have no financial relationships with commercial entities producing healthcare related products and/or services Objectives • Institutional coordination, readiness and response to COVID-19 pandemic – Patient-related – Staff related – Hospital preparedness – Managing national lockdown – Supply chain disruptions • Key principles of response Consequences of COVID-19 • Challenges for patients • Shortage of hospital personnel – quarantine, high-risk, lockdown • Shortage of supplies – masks, PPEs • Shortage of beds, ventilators • Widespread fear amongst general public, patients and HCW Need to continue Need to ensure cancer treatment safety of patients for patients and employees Cancer treatment during COVID-19 • Individualized per institution and patient • Cannot be prescriptive Principles • What stage of the pandemic? – Likely trajectory • Infrastructure available at hospital • Risk of COVID-19 to patient vs risk of suboptimal treatment for cancer National Cancer Grid Guidelines for delivery of cancer care in COVID-19 General Principles • Reducing the risk to patients • Reducing the healthcare resource utilization • Identification of suspected cases • Reducing the risk to HCP General Principles • Infection control measures – Hand Hygiene – Social distancing – Cough etiquette • Avoid overcrowding – Rescheduling follow ups – Teleconsults – Limiting the